SA Sx, E1, OVE Sx
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With ovariohysterectomy is cervix removed?
no, ligate cranial to cervix to prevent bleeding through vagina
Is it easier to break the suspensory ligament close to rib attachment or ovary attachment?
rib attachment where fibers are more spread out
What is the cranial landmark for ventral midline approach?
What is clamped to manipulate the ovary and create leverage while breaking the suspensory ligament?
What is done after the suspensory ligament is broken?
window/opening made with hemostat in least vascular portion of mesovarium; 3 clamps placed on pedicle through this opening
what type of ligatures are placed and where are they placed in relation to 3 clamps?
- proximal ligature: circumferential in the crush of the prox. clamp
- 2nd ligature: transfixing (or circumferential in tiny pt) between 1st ligature and middle clamp
Where is the tissue transected after ligatures placed on pedicle?
between middle and distal clamps
Is mesometrium removed with ovaries/uterus?
no, torn away lateral to uterine vessels (fat dogs may require ligatures here)
Where is ligation of the uterine body in dogs? In cats?
- dog: just cranial to cervix
- cat: no obvious cervix so in caudal 1/3 of uterine body
Vessels on both sides of the uterus are ligated, leaving long suture ends. what are these ends later used for?
used to tie circumferential ligature just cranial to cervix (in crushed tissue of prox. clamp)
Are hemoclips more appropriate for small or large dogs/cats?
what structure should carefully be avoided because it resembles the pedicles and is in close proximity?
what is an example of a condition requiring an episiotomy?
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